基于数据挖掘技术探讨俞根初治疗六经病用药规律
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R249

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绍兴市卫生健康科技计划项目(2022KY049)


Exploration on YU Genchu's Medication Rules in Treating Diseases of Six-Meridians Based on Data Mining Technology
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    摘要:

    目的:通过数据挖掘《重订通俗伤寒论》中治疗六经病的方剂,总结俞根初用药规律。方法:选 择《重订通俗伤寒论·六经方药》中六经病方剂作为研究对象,建立数据库,对药物进行频次、性味归经统计 及关联规则、聚类分析。结果:筛选出中药内用方113首,其中鲜药处方40首;涉及药物217种,鲜药15味。高 频(≥10次) 药物21味,药物药性以温、寒、平为主,药味以辛、苦、甘为主,主要归脾、胃、肺经。药物关 联程度最高的药对分别为甘草-大枣,大黄-枳实,甘草-干姜。聚类分析得到6类药物,分别对应六经证治。 结论:俞根初治疗六经病立法多样,用药轻灵,重视脾胃、长于化湿,六经用药,师古不泥。

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    Abstract: Objective: To summarize YU Genchu's medication rules by data mining the formulas for treating diseases of six-meridians in Chong Ding Tong Su Shang Han Lun (Revised Popular Guide to ‘Treatise on Cold Damage’). Methods:Formulas for six-meridian diseases from the Six Meridian Formulas and Herbs section of Chong Ding Tong Su Shang Han Lun were selected as the study subject. A database was established,the statistical analysis on use of frequency,nature,flavors and meridian entries of Chinese medicinals was done,and the association rules and cluster analyses were conducted. Results : A total of 113 internal herbal formulas were screened, including 40 prescriptions using fresh herbs,involving 217 herbal types( 15 fresh herbs). High-frequency herbs( used ≥10 times) included 21 types. Medicinal properties were primarily warm,cold,and neutral;medicinal flavors were predominantly acrid, bitter, and sweet; herbs mainly entered the spleen, stomach, and lung meridians. The most strongly associated herbal pairs were Glycyrrhizae Radix et Rhizoma-Jujubae Fructus,Rhei Radix et Rhizoma-Aurantii Fructus Immaturus,and Glycyrrhizae Radix et Rhizoma-Zingiberis Rhizoma. Cluster analysis identified six groups of Chinese herbs,corresponding to syndrome differentiation and treatment of six-meridian diseases. Conclusion:YU Genchu's approach to treating six meridian diseases is characterized by diverse therapeutic strategies, gentle and precise medication, a strong emphasis on the spleen and stomach, and exceptional skill in resolving dampness. While he applies the six-meridians theory in medication,he adheres to ancient principles.

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蒋燕华,赖蓉蓉,倪晓红.基于数据挖掘技术探讨俞根初治疗六经病用药规律[J].新中医,2025,57(11):13-17

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  • 在线发布日期: 2025-06-13
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